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使用倾向性得分匹配分析的右侧和左侧腹腔镜切除术之间的术后阴茎发生率和危险因素:一项回顾性多中心研究

Fumitake Uchida^1,2, Tetsuro Tominaga¹, Takashi Nonaka¹

¹Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

Asian journal of endoscopic surgery

|July 6, 2023

概括

与左侧切除术相比,腹腔镜右侧切除术与术后阴道风险更高有关. 男性性别和先前的腹部手术是右侧切除术后发生术后大肠病的关键风险因素.

科学领域:

结肠直肠手术结肠直肠手术
手术瘤学手术瘤学
胃肠道瘤学胃肠道瘤学

背景情况:

在右侧结肠外科手术后,术后结肠 (POI) 发生率高于左侧结肠手术,尽管之前的研究存在局限性.
切除术后POI的危险因素仍然不完全理解.

研究的目的:

为了比较腹腔镜右切除术和结肠癌的左切除术之间的术后结肠病的发生率.
为了确定经腹腔镜右侧切除术的患者中术后内脏病的独立风险因素.

主要方法:

一项多中心研究审查了1986名为结肠癌进行腹腔镜切除术的患者 (2016-2021).
倾向性得分匹配创造了803名右侧和左侧胆管切除术患者的可比组.
多变量分析确定了手术后阴的预测因素.

主要成果:

在97名患者 (4.9%) 中发生了手术后的骨髓.
在匹配后,右侧切除术显示了更高的手术后骨率 (6.4%对3.2%,P=.004).
男性性别 (HR 1.798) 和腹部手术史 (HR 1.909) 是右侧切除术中POI的独立预测因素.

结论:

腹腔镜右侧切除术与术后阴道风险显著增加有关.
男性性别和腹部手术史被确定为右侧切除术后POI的独立风险因素.

关键词:

结肠癌是什么意思结肠癌是什么意思手术后的阴茎.一面性两面性

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